NEWPORT BEACH COMPREHENSIVE CARE MEDICAL GROUP, INC
NPI 1033305834
Internal Medicine in Newport Beach, CA

Active since September 15, 2007CLIA 05D0999074 · Waiver
355 PLACENTIA AVE, SUITE 102, NEWPORT BEACH, CA 92663(949) 574-1091(949) 574-1097 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Newport Beach Comprehensive Care Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEWPORT BEACH COMPREHENSIVE CARE MEDICAL GROUP, INC (NPI 1033305834) is a healthcare organization registered as an internal medicine in Newport Beach, California and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists James Daniel Fondren, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033305834
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNEWPORT BEACH COMPREHENSIVE CARE MEDICAL GROUP, INC
Location Address355 PLACENTIA AVE, SUITE 102Newport Beach, CA 92663-3311
Mailing Address3419 Via Lido, Pmb 349Newport Beach, CA 92663-3908 · (949) 574-1091 · Fax (949) 574-1097
Fax(949) 574-1097
Organization SubpartNo
Authorized OfficialJames Daniel FondrenCeo · (949) 574-1091
Enumeration DateSeptember 15, 2007
Last NPPES UpdateDecember 6, 2012
NPI 1033305834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A60586
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

355 PLACENTIA AVE, Newport Beach, CA 92663

Other Identifiers 1

Medicare UPING75962CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0999074

Newport Beach Comprehensive Care Medical Group Inc. · Newport Beach, CA
Active · expires May 1, 2028
CLIA Number05D0999074
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorJames D. Fondren MD
Laboratory Phone(949) 574-1091
Laboratory LocationNewport Beach Comprehensive Care Medical Group Inc.355 Placentia Ave Ste 102, Newport Beach, CA 92663
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
355 PLACENTIA AVE, SUITE 309
NEWPORT BEACH, CA 92663
Internal Medicine
355 PLACENTIA AVE, SUITE 201
NEWPORT BEACH, CA 92663
Internal Medicine (Cardiovascular Disease)
355 PLACENTIA AVE, SUITE 100
NEWPORT BEACH, CA 92663
Family Medicine
355 PLACENTIA AVE, SUITE 103
NEWPORT BEACH, CA 92663
Surgery (Plastic and Reconstructive Surgery)
355 PLACENTIA AVE, SUITES 99 AND 104
NEWPORT BEACH, CA 92663
Dentist (Endodontics)
355 PLACENTIA AVE, #304
NEWPORT BEACH, CA 92663
Physical Medicine & Rehabilitation
355 PLACENTIA AVE, SUITE #307
NEWPORT BEACH, CA 92663
Dentist (General Practice)
355 PLACENTIA AVE, # 205
NEWPORT BEACH, CA 92663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Newport Beach Comprehensive Care Medical Group, Inc's NPI number?

The NPI number for Newport Beach Comprehensive Care Medical Group, Inc is 1033305834. It was assigned to this organization in the NPPES registry on September 15, 2007.

Where is Newport Beach Comprehensive Care Medical Group, Inc located?

Newport Beach Comprehensive Care Medical Group, Inc is located at 355 Placentia Ave Suite 102, Newport Beach, CA 92663. The listed phone number is (949) 574-1091.

What is Newport Beach Comprehensive Care Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Newport Beach Comprehensive Care Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0999074) is associated with this NPI, valid through May 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Newport Beach Comprehensive Care Medical Group, Inc was last updated on December 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.